Four Hundred and Ninetieth Three, the Grapes Are Ripe

Peeling with bare hands is like peeling the shell of a boiled egg and the outer layer of the egg white. The skin of some eggs is very difficult to peel, and it is even more difficult to peel if it is still a hot egg.

Single Wang has quick hands but no skills. This kind of egg can't be seen after peeling. The egg white is almost peeled off, leaving only the yolk. The peeling of benign liver tumors is actually exactly the same as peeling this egg.

If it is too fast, the peeling will not be clean; if it is too slow, the operation time will be longer, which will increase the risk of infection for patients. Too much strength either breaks the tumor or injures the liver.

This kind of operation is not difficult, but it is very trivial. The tumor must be stripped clean. This thing, if there is a little left, it will be a wildfire. It may recur a second time, and it will be completely cancerous.

Therefore, for a doctor who does a good job of surgery, peeling this thing is like an old driver peeling off the clothes of a beautiful woman. It must be rhythmic, otherwise it will be very boring. As you can imagine, for an egg with a big fist, you need to use tweezers to clean the skin on the surface of the egg. , How many times do you have to use tweezers, impatient people may throw all the eggs away.

Zhang Fan is this kind of rhythmic doctor, he can't play with Shao Hua, can't he play with you little egg! Grab the egg with one hand, hold the electric knife in the other, and use the middle finger holding the electric knife to gently insert it into the gap between the liver and the tumor.

Gently insert it in, then gently shake it from side to side, then pull it out, around the oval tumor, Zhang Fan's middle finger goes in and out. The blood supply of the liver is very rich, and whether the liver is a benign or malignant tumor, the blood supply is richer.

Their blood vessels are like spider webs, and countless small blood vessels are derived from the liver and enter the tumor. Zhang Fan's white fingers entered their gaps, and when they came out, there was blood.

Then press the tumor slightly towards the other side to expose the bleeding place, and directly use the electric knife to go straight into the bleeding point, lightly, and nourish! With a bang, green smoke rises, it's over, continue.

Gently tap the water, hold the electric knife with a steady hand, and use precise electrocoagulation in a space with small gaps. No more, no less, even the scar from electrocoagulation could not be seen.

It is so precise that the director of hepatobiliary surgery praised it. To use an Internet language: Your uncle is still your uncle, although he is young.

In the little smoke, the tumor was slowly dug out of the liver. When Zhang Fan cut off the last trace of adhesion with the electric knife, the benign tumor of the liver was completely cut off by Zhang Fan.

This thing is like a big boiled egg. It is a bit tough to pinch, with a little force, it feels like you want to squeeze out the water inside. How should I put it, it is a bit like steamed buns made of high-quality flour, pinch it and let it go, it will definitely bounce back.

"Knife!" Zhang Fan held this thing in his hand, and after keeping away from the patient's incision area, Zhang Fan said to the nurse.

When the doctor is operating, the equipment nurse is not idle. She needs to know what equipment the doctor needs in the next step, put it at hand, and be ready to pass it on at any time.

When the doctor doesn't want the equipment, she has to wipe the blood-stained equipment clean. There are hundreds of kinds of equipment, whichever the doctor wants, she must take the initiative to get it at the first time.

Zhang Fan took the scalpel, put the excised tumor into the curved plate, and cut it open with the knife, just like cutting a watermelon, and cut the egg into four pieces.

"Look, the tissue inside the tumor is fine."

"Yes, Zhang Yuan, everything inside is normal and not rotten."

The three assistants stretched their necks and took a look. Malignant tumors grow too fast and fiercely, usually egg-sized malignant tumors, the cells inside cannot pass in nutrition, so they are definitely rotten, just like a carrion corpse that starved to death. This is why patients with malignant tumors are prone to high fever and infection.

Benign tumors do not. The organization inside and out is the same.

And what about the incised benign tumor? In fact, it is quite similar to a durian. It is tender and watery inside, but because of the presence of blood vessels, the color is red with white, or like a brain flower.

"Let the family members take a look, and then take a quick medical examination."

"OK.

"After the itinerant nurse took the tissue belt, she went out with the bloody tumor.

After a while, the medical examination report was benign.

Shut up.

Closing the abdomen, the last step of the operation, is also a rather tangled step, because the operation will be finished soon, and if there is something wrong during the operation, the surgeon will feel anxious.

Before that, the doctor has to go through the operation in his mind. Are you satisfied with the hemostasis? Has the source of the disease been completely controlled? Has it been removed? Has the anastomosis been handled? Will there be an internal hernia? Is the drain tube in place? Do you need to do a special drain.

These issues must be clear. Otherwise, wait until you get entangled, so the doctor must not only concentrate, but also have a clear memory of the operation steps during the operation.

There is a saying in general surgery: After the abdominal cavity is opened, the initiative is in your hands, and you can do whatever you want, whether the operation is large or small; after the abdominal cavity is sutured, the initiative is controlled by it, and you have to act according to its face. For example: abdominal distension, you have to deal with it, blood pressure drops in the middle of the night, you have to come from home.

Zhang Fan quickly went through the operation steps in his mind, and then began to close his abdomen.

After the two surgeries in the morning, Zhang Fan was a little tired. One more surgeries would not only add more than an hour's workload, but the longer the time, the more energy the doctor would have to spend.

After the operation, Zhang Fan reluctantly ate a few mouthfuls of rice. He couldn’t do without. There was another operation in the afternoon. After eating, Zhang Fan hurriedly lay down on the floor of the operating room. For about ten minutes, the energy is different.

While Zhang Fan was undergoing surgery at the affiliated hospital, a private plane from Almaty flew directly to Niaoshi Airport. And the level of the leader who picked up the airport was not low. The leader of Niaoshi Petroleum and an official from the Huaguo Ministry of Foreign Affairs appeared at the airport.

When Zhang Fan entered the operating room, he couldn't care about Shao Hua anymore. After Zhang Fan left in the morning, Shao Hua was almost late. He fell asleep too late last night, but when he woke up, the sun was already in the sky. The girl hurriedly put on her clothes and went to the meeting.

In the afternoon, Zhang Fan asked the director of the second hepatobiliary department to perform the operation first, but the director of the second hepatobiliary department did not do it. It is better to pass one hand than to see it with the eyes a thousand times.

He saw that Zhang Fan's operation seemed very easy and simple, and he felt that he was almost done. As a result, when he was in the middle of the tumor, he became a little timid.

Surgery, no doctor will be brave. He got stuck in this place this time, so he can only continue to observe and try to figure it out. After watching a dozen more sets, he may be able to pass this hurdle. As for when he can truly operate independently, it is estimated It will be a while.

After Zhang Fan took over the position of the chief surgeon, he continued the operation. As soon as Zhang Fan started the operation, he was different immediately. When the director of the second hepatobiliary department performed the operation, he was like a three-year-old child holding a big tripod.

He didn't know whether he was afraid or not. Anyway, the bystanders were afraid and trembling, and Zhang Fan's operation was like an art, which could make people give out pleasant admiration!

"Well, it's delicious." In the afternoon, after Shao Hua had finished his meeting early, he was eating cake at the cake shop near the affiliated hospital while waiting for Zhang Fan.

Frontier Cake Shop, the most famous cake shop, the grapes are ripe!

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